Assignment: Family Health Assessment

NRS 429 Assignment: Family Health Assessment

Assignment: Family Health Assessment

Family Health Assessment Part 1

Family Health Assessment is crucial in identifying the family’s strength and weakness in terms of access to quality and affordable care. The assessment also provides crucial information to the healthcare practitioners on the threats to achieving comprehensive health and general wellness for the whole population. Furthermore, the family assessment prepares nurses especially the Family Nurse Practitioners with the relevant skills required in the assessment of the family health patterns and be able to offer family-based solutions (Peterson-Burch, 2018). The concept has also proved to be instrumental in advancement of genetic interventions in some of the complex conditions.

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Family Structure

In my family health assessment, I interviewed the family of Mr. and Mrs. K. The family unit is composed of three elderly adults of age between 60 to 95 years and two young adults, a 21-year-old female and a 24-year-old male. The family is of Hispanic -American descent, Mr. K is 68-year-old retired attorney while Mrs. K is a 60-year-old retired high school teacher they live together with Mrs. K’s mother who is 92-year-old battling arthritis and Alzheimer. All the family members are practicing Catholics with an upper middle class economic standard. They have enough pension to cater for their medical, food and other family expenses.

Family Health and Family Behavior

The current family health behavior is focused on maintaining a healthy lifestyle. Mr. and Mrs. K have regular exercise schedules in the gym. They do exercise thrice a week on Wednesdays, Fridays and Sundays. They do also maintain a healthy diet to keep them healthy. Mr. K has a history of hyperlipidemia while Mrs. K has hypertension, they both manage the health conditions well through diet and exercise. Their two elderly children are healthy, with no pre-existing medical conditions. They are normal with above average performance in school. They have been excelling in both academic and sporting activities. The 24-year-old son has interest in soccer and plays in the college soccer team while the 21-year-old has been participating in the tennis ball competitions since she was a 6-year-old. Mrs. K’s mother has been battling arthritis and Alzheimer for the last five years. She attends regular therapy to relieve the pain associated with arthritis.

Functional Health Patterns; Strengths and Barriers to Health

In the assessment of the family’s health pattern strength and weakness, it was clear that the family lifestyle and concern about health has helped the family members remain healthy. The family members are engaged in regular exercise and nutrition which are precursors to staying healthy and fit. Mr. K has been able to successfully manage his hyperlipidemia while Mrs. K has been managing hypertensive condition through regular exercise and diet. The strength towards adoption of the health promotion measures as one of the key pillars in the Affordable Care Act that advocates for reduced pressure on healthcare resources and facilities through health promotion measures (Courtemanche et al., 2018). Additionally, give the level of education of Mr.and Mrs. K they are fully aware and knowledgeable on the health matters concerning, health insurance, immunization and vaccination programs and general health promotion measures. The fact that they are practicing Catholics with strong foundation in Christian values of faith, love, patience and compassion, it helps in strong family culture of unity and helping each other overcome the emotional stress that might arise from the workplace or school. The religious guidance has for long been associated with improved mental health among the adolescents and young adults (Estrada et al., 2019). Another strength noted in ensuring a healthy pattern and lifestyle in the excellent communication skills that exists between the family members. They do discuss in open any challenges they are facing and this helps in coping up with stress.

The barrier to health that were noted could be limited energy and ability to exercise due to their advanced age. Another barrier to health in the family is Mrs. K’s mother’s health condition that has put the family under stress especially when her arthritis condition becomes very severe. This condition calls for both physical and emotional support o help the patient in coping up with the condition (Brignon et al., 2020). Mrs. K elimination complexity has been an area of concern and discomfort that has hindered her from fully enjoying a quality life.

Family Systems Theory

The family system theory views a family as a complex social system where the individual behaviors of the family members influence one another and make a collective interactive system. The system is observed as a whole and not as a single unit or individual person. The role Family Health Nurses Practitioners (FHNP) has been gaining popularity over the years; however, the enhancing health care practices requires a multifactorial approach that brings together all the stakeholders to realize effective change in healthcare (Duhamel, 2017). Families are encouraged to incorporate collective health promotion measures such as health diet, regular exercise, hygiene and following immunization and vaccination programs.

In the coping with stress issues in the family, the family notes of doing outdoor activities such as working on the garden, exercising and meditation. They mention of experiencing stress about the current situation of Covid-19 condition and stress due dealing with grown up children’s issues. The family systems theory can be instrumental in helping strengthen communication between the family members. The fact that all the family members are practicing Catholics, they can have joint sessions of Bible study and prayer sessions together to help in dealing with the stress and the psychological and mental effects associated with Covid-19 pandemic.

Conclusion

Family health assessment process helps the nurse practitioner better understand the family health patterns, the strengths and barriers families experience in access to quality care and achievement of the complete functional health that guarantees the family members quality life. In my family assessment report, I was able to interview a Hispanic-American family of five people. Three elderly adults and two young adults. The family being from the middle upper middle class, have adequate resources and descent living. Though the family has elderly family members battling chronic illness of hyperlipidemia, hypertension and arthritis, they have been able to manage the conditions well through proper nutrition, regular exercise and adherence to the prescribed medication.

Assignment: Family Health Assessment

Assignment: Family Health Assessment

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Select a family to complete a family health assessment. (The family cannot be your own.)

Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:

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Values, Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
NOTE: Your list of questions must be submitted with your assignment as an attachment.

After interviewing the family, compile the data and analyze the responses.

In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.

Identify two or more wellness nursing diagnoses based on your family assessment. Wellness and family

nursing diagnoses are different than standard nursing diagnoses. A list of wellness and family nursing diagnoses, from J. R. Weber’s Nurses Handbook of Health Assessment (5th ed.), can be found at the following link

NRS 429V Week 5 Discussion 1

Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?

NRS 429V Week 5 Discussion 2

How could you use the family structural theory to determine if a family is dysfunctional or not? Provide evidence to support your answer.

Family Focused Assessment

Families play an important role in any society. They contribute to the health and wellbeing of a society. Families consist of individuals that work together towards achieving a common goal. The individual behaviors are important in determining the overall health of the family. Therefore, this essay is a summary of interview that was conducted in a family to determine family behaviors. The essay explores areas that include a description of the family structure, functional health pattern strengths and weaknesses, and effectiveness of family systems theory in promoting positive change in the family.

Description of the Family Structure

The selected family that was used in undertaking this assignment is Mr. X’s family. The family is an extended family. The family members comprised of Mr. X and his wife, two children, and their grandparents. The family is African-American family. The husband, Mr. X works in a local manufacturing company as a salesperson. His wife works as a cashier at a local restaurant. Their children – two daughters- are in their junior high school. The grandmother is a retired nurse while the grandfather is an ex-military person. The family members are Christians who attend the church on a regular basis. The family can be categorized as a middle class family based on their lifestyle and affordability of the basic needs and wants. The home environment of the family was clean. There was adequate supply of clean water, adequate food supplies, and effective disposal of wastes.

Overall Health Behaviors of the Family

An interview to identify the health behaviors of the family was undertaken using Gordon’s functional health patterns. The interview revealed that the family perceived their overall health to be good. The family members reported to understand the importance of health promotion. They utilized the available health care services that include screening and early treatment of health problems. However, the perceived challenges of the family in accessing the care they needed included high cost of medical care, use of traditional medicines, and lack of understanding about some of their health problems. The interview revealed that the nutritional status of the family was adequate. The adequacy was seen from the ready availability of healthy diets for the family members. There was also the evidence of minimal influence of culture on the family’s dietary habits. The family however noted that having elderly members had affected the dietary choices they made since they prioritized the health needs of their grandparents.

The interview also revealed that most of the family members have adequate rest and sleep. This could be seen from the average number of hours that the family slept or rested on a daily basis. The grandparents however reported to experience insomnia. They reported to have challenges in getting and maintaining sleep. The family reported minimal issues related to elimination. The grandparents were reported to have elimination problems that included incontinence and use of laxatives to ease passing of stool by one of the grandparents. This experience has been a source of significant distress to the family. The family also reported to engage in adequate physical activities. They included having a morning run and assisting their grandparents walk round the compound on a regular basis. One of the grandparents however had spinal injury, which limits his ability to engage in moderate physical activity.

The interview also revealed that the family members had a positive perception towards self, others, and their bodies. They appreciated themselves for helping one another achieve their set goals in the family. No abnormalities were identified in the sensory-perception aspect of assessment. The family members were aware of themselves, space, and time. They also played active roles in their desired social, functional, and occupational roles. However, the grandparents were dependent on their children. The family members reported to utilize social support systems in addressing their stressful conditions. They assist each other in seeking ways of managing their stressful events. They also seek the support of the church members and pastor in difficult situations. The interview did not reveal any sexuality-related problems in the family.

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Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Course Code Class Code
NRS-429VN NRS-429VN-O500 Family Health Assessment Part I 150.0

Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%)
Content 80.0%
Interview Questionnaire Assessing Functional Health Patterns 15.0% Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions. The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria. The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment. The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment. The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.

Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment) 15.0% Description of family structure omitted. A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies. A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies. The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure. The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.

Family Health and Health Behaviors 15.0% Health behaviors and current health of the family are not presented. Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear. Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented. Health behaviors are identified and presented. The current health behaviors of the family are described. Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.

Findings (functional health patterns strengths, health problems or barriers to health) 15.0% Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria. Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.

Application of Family Systems Theory 20.0% Application of family systems theory is not presented. Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory. Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory. Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes. Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.

Organization and Effectiveness 15.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.

Format 5.0%
Paper Format (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.